EXAM/LICENSE APPLICATION CHECKLIST

Use eLicensing for Faster Service

? New Applicant? o Create an eLicensing account and apply online o Follow system guide through the exam or exam/license application o Upload required documents/forms o View education requirements already on file with DRE o Pay the required fees

? Already Have an eLicensing Account? o Sign in to eLicensing

? Already Applied or Licensed but Need an eLicensing Account? o Create an eLicensing account

This short instructional video goes over the documents/forms you'll need to upload with your application. Having these materials together before you begin the process will make filing the online application faster and easier.

Filing online also makes it easier to track the progress of your application, receive email notifications if DRE needs additional information, and for DRE to contact you once the application is approved so you can schedule your real estate exam.

DO NOT USE THIS FORM TO APPLY FOR A BROKER LICENSE IF:

? YOU HAVE ALREADY SUBMITTED A:

BROKER EXAMINATION APPLICATION (RE 400B) BROKER EXAM LICENSE APPLICATION (RE 436)

? YOU HAVE APPLIED ONLINE THROUGH eLICENSING

(USING EITHER the RE 400B or RE 436 form)

? YOU HAVE APPLIED IN THE LAST TWO YEARS

(USING EITHER the RE 400B or RE 436 form)

NOTE: If you have previously submitted a BROKER EXAMINATION APPLICATION (RE 400B) and passed your examination, you will need to create

or log in to your eLicensing account, view your exam results page and print out a BROKER LICENSE APPLICATION (RE 200) to apply for a license.

State of California Department of Real Estate

Exam/License Application Checklist

RE 216B (Rev. 10/21)

GENERAL INFORMATION

This checklist may be used for either the salesperson or broker Titles of forms referenced by number. All of these forms

exam/license paper applications.

are available on DRE's Web site at dre..

Read appropriate license instructions carefully (RE 435A or RE 436A).

Application must list your legal name.

Items to be included in your packet are listed below. Check off each item as you assemble your packet.

Mail completed application package and fee to: Department of Real Estate P.O. Box 137001 Sacramento, CA 95813-7001

RE 206 Exam & Licensing Fees RE 226 Licensed Experience Verification RE 227 Non-Licensed Experience Verification RE 228 Experience Certification RE 237 Live Scan Service Request (Applicant) RE 237B Fingerprint Information RE 423 Examination Qualification Requirements RE 435 Salesperson Exam/License Application RE 435A Salesperson Exam/License Instructions RE 436 Broker Exam/License Application RE 436A Broker Exam/License Instructions RE 243 License Application Demographic Survey

(Voluntary) RE 909 Credit Card Payment

SALESPERSON APPLICANTS

BROKER APPLICANTS

Required documents...

RE 435 -- Completed and signed by applicant.

Official transcripts or course completion certificates for Real Estate Principles, Real Estate Practice and/or one other required course -- not needed, if previously submitted.

RE 237 (See below.) -- Completed by applicant and live scan service operator.

License fee -- Refer to RE 206 for current fees. Do not send cash.

Cashiers'check, check, or money order made payable to: Department of Real Estate.

RE 909 -- If paying by credit card.

Required documents ...

RE 436 -- Completed and signed by applicant.

Documentation to establish examination course requirements have been met. Refer to RE 423 for current requirements.

Official transcripts.

Course completion certificates.

Documentation showing experience requirements have been met. Please note that depending on your circumstances, one or more of the forms listed below may be required.

RE 226 -- Documenting licensed experience.

RE 227 -- Documenting non-licensed experience.

RE 228 -- Two RE 228's are required if unable to obtain broker's signature on RE 226 form.

RE 237 (See below.) -- Completed by applicant and live scan service operator.

License fee -- Refer to RE 206 for current fees. Do not send cash.

Cashiers'check, check, or money order made payable to: Department of Real Estate.

RE 909 -- If paying by credit card.

Make two photocopies of the copy provided. After fingerprints are completed the live scan service operator will retain the original. You should return the second copy to DRE and keep the third copy for your records.

DRE USE ONLY

DRE USE ONLY

State of California Department of Real Estate

Broker Exam/License Application

RE 436 (Rev. 11/21)

DRE RECEIVED DATE

GENERAL INFORMATION

Apply for the real estate broker examination and the real estate broker license at the same time.

Do not submit photocopies of this form or fax this form.

Read enclosed instructions (RE 436A) before completing and submitting this application to ensure that you understand the requirements and that the proper qualifying documentation and exam/license fee are submitted. Note: Fees submitted with this application are not refundable or transferable. If you fail to qualify for or pass the examination within two years of the date this application is filed, the fees will not be applied to any future applications.

DRE USE ONLY EXAM ID

EFFECTIVE DATE

LIC. ID

EXPIRATION DATE

FEES REQUIRED

Exam............................$ 95 License.........................$300 Total due to DRE with this application.....$395

DATE EXAM PASSED

APPLICANT INFORMATION

1. SOCIAL SECURITY NUMBER OR INDIVIDUAL TAXPAYER ID NUMBER (REQUIRED ? REFER TO PRIVACY NOTICE ON RE 436A) 2. BIRTH DATE (MM/DD/YYYY)

3. Have you ever applied for a California real estate exam?.................................................................................... NO

YES

If YES, list examination ID#. (If known.).................................................................................................................. ____________________________________

4. APPLICANT'S NAME (MUST BE YOUR LEGAL NAME) - LAST

FIRST

MIDDLE

SUFFIX

5A. MAILING ADDRESS ? STREET ADDRESS OR POST OFFICE BOX

5B. CITY

5C. STATE

5D. ZIP CODE

6. Do you reside in California?.................................................................................................................................. YES

If NO, an "RE 234" is required (Refer to RE 436A).

7. CURRENT PHONE NUMBER (required)

( )

8. CURRENT EMAIL ADDRESS (required - PRINT CLEARLY)

NO

9. BUSINESS CELL PHONE NUMBER

( )

10. BUSINESS TELEPHONE NUMBER

( )

11A. ARE YOU CURRENTLY SERVING IN THE U.S. MILITARY?

YES

NO

11B. ARE YOU CURRENTLY MARRIED TO, IN A DOMESTIC PARTNERSHIP, OR IN A LEGAL UNION WITH AN ACTIVE

DUTY SERVICE MEMBER?

YES

NO (see RE 436A for expedited processing instructions)

12A. HAVE YOU PREVIOUSLY SERVED IN THE U.S. MILITARY?

YES

NO

12B. IF YES, WERE YOU HONORABLY DISCHARGED?

YES

NO (see RE 436A for expedited processing instructions)

13. Do you now hold or have you ever held a California real estate license?............................................................ YES

If YES, complete 13A, B, C, and D below.

NO

13A. TYPE OF LICENSE

13B. IDENTIFICATION NUMBER

13C. EXPIRATION DATE 13D. NAME ON LICENSE

EXAMINATION INFORMATION

14. When you are qualified for the examination would you prefer to use eLicensing to schedule your own examination date?

YES ? Please notify me by email when I am qualified for the examination. NO ? Proceed to item 15.

15. EXAM AREA PREFERENCE

SACRAMENTO

FRESNO

OAKLAND

SAN DIEGO

LOS ANGELES VICINITY OTHER:

16. EARLIEST DATE YOU CAN TAKE EXAM 17.

(mm)

(dd)

(yyyy)

I am requesting a reasonable accommodation; RE 413 & supporting documents are attached.

RESTRICTED VIOLATIONS FORM LETTER / NOTES

DRE USE ONLY

EXAM PROCESSOR

DATE PROCESSED

SENDER/DATE SENT

LICENSE PROCESSOR

DATE PROCESSED

RE 436 -- Page 2 of 3

NAME OF APPLICANT

LICENSE INFORMATION

18. HAVE YOU USED ANY OTHER NAMES (I.E., MAIDEN NAME, FORMER MARRIED NAMES, AKA'S, ETC.)?

YES -- IF YES, LIST ALL NAMES USED: __________________________________________________________________________ NO

19. INITIAL WORKING STATUS (Must check one)

YES. PLEASE ISSUE MY LICENSE IN A WORKING STATUS WITH THE MAIN OFFICE

ADDRESS AS INDICATED ON ITEMS 20-23. WHEN MARKED "YES", ITEMS 20-23 MUST BE COMPLETED.

NO. I DO NOT HAVE A MAIN OFFICE ADDRESS AT THIS TIME. PLEASE ISSUE MY

LICENSE IN A NON-WORKING STATUS. DO NOT COMPLETE ITEMS 20-23. LEAVE ITEMS 20-23 BLANK.

20. MAIN OFFICE ADDRESS - STREET ADDRESS (MUST BE PHYSICAL ADDRESS)

21. CITY

22. STATE

CA

23. ZIP CODE

24. FICTITIOUS BUSINESS NAME(S) (DBA) -- IF USING A FICTITIOUS BUSINESS NAME(S) INCLUDE A FILED COPY OF THE FICTITIOUS BUSINESS NAME STATEMENT(S) OBTAINED FROM THE COUNTY CLERK FOR EACH NAME. REFER TO RE 436A FOR ADDITIONAL INFORMATION.

I WILL USE A DBA

DBA I WILL BE USING: ____________________________________________________________________________________________________

ADDITIONAL DBA

OTHER DBA I WILL BE USING: ____________________________________________________________________________________________________

ADDITIONAL DBA

OTHER DBA I WILL BE USING: ____________________________________________________________________________________________________

BACKGROUND INFORMATION

Carefully read and provide detailed answers to questions 25-28. You must provide a "yes" or "no" response to all questions, and completely and accurately provide the detailed information required. Attach additional sheets if you need more space. Each additional sheet must be signed by the applicant. Failure to disclose pertinent information may result in denial of your license application and/or delays.

25. HAVE YOU EVER HAD A DENIED, SUSPENDED, RESTRICTED OR REVOKED BUSINESS OR PROFESSIONAL LICENSE (INCLUDING REAL ESTATE), IN CALIFORNIA OR ANY OTHER STATE? IF YES, COMPLETE ITEM 29..................................................................................................... YES

NO

26. ARE THERE ANY LICENSE DISCIPLINARY ACTIONS PENDING AGAINST A BUSINESS OR PROFESSIONAL LICENSE YOU HOLD AT THIS TIME? IF YES, COMPLETE ITEM 29......................... YES

NO

27. HAVE YOU EVER BEEN REQUIRED TO REGISTER AS A SEX OFFENDER PURSUANT TO THE PROVISIONS OF SECTION 290 OF THE CALIFORNIA PENAL CODE OR ANY COMPARABLE LAW OF ANY STATE OR GOVERNMENTAL UNIT? IF YES, COMPLETE ITEM 30......................................... YES

NO

28. HAVE YOU EVER BEEN ORDERED TO CEASE, DESIST AND/OR REFRAIN FROM DOING AN ACT(S), OR FROM VIOLATING A LAW, RULE OR REGULATION BY, OR CITED FOR A BREACH OF ETHICS OR UNPROFESSIONAL CONDUCT, BY AN ADMINISTRATIVE AGENCY OR PROFESSIONAL ASSOCIATION IN CALIFORNIA OR ANY OTHER STATE? IF YES, COMPLETE ITEMS 29-30................................................................................................................. YES

NO

29. DETAILED EXPLANATION OF ITEM 25, 26 AND/OR 28. IF NEEDED, EXPLANATION MAY BE PROVIDED BELOW ON ITEM 30.

29A. TYPE OF LICENSE

29B. LICENSE ID NO.

29C. LICENSE EXPIRATION DATE

29D. STATE

29E. ACTION (revoked, etc.)

29F. DATE OF ACTION

29G. DATE ACTION TERMINATED

29H. CODE SECTION VIOLATED

30. ADDITIONAL INFORMATION: SPECIFY WHICH LINES YOU ARE REFERRING TO. ATTACH EXTRA SHEETS IF MORE ROOM IS NEEDED. EACH ADDITIONAL SHEET MUST BE SIGNED BY APPLICANT.

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